Ask a Cleveland Sex Therapist Archives

Ask a Cleveland Sex Therapist: The Benefits of Cannabis on Sex

Some describe feeling less self conscious, others report heightened sensory awareness. For couples, this can sometimes slow the experience down in a positive way, encouraging more focus on pleasure rather than performance.

by Matt Lachman LPCC-S, CST March 24, 2026March 24, 2026

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Ask a Cleveland Sex Therapist: Sometimes I Fake My Orgasm to Speed Sex Up. Should I Tell My Boyfriend?

Orgasms aren’t the end all be all of sex, and what you require is likely very different than what works for him. Being open and vulnerable is a good place to start the conversation.

by Matt Lachman LPCC-S, CST March 16, 2026March 16, 2026

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Ask a Cleveland Sex Therapist: What Porn Gets Wrong About Sex

If your sex life does not resemble porn, that is not a failure. It is often a sign that your intimacy is real.

by Matt Lachman LPCC-S, CST March 9, 2026March 9, 2026

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Ask a Cleveland Sex Therapist: The One Activity All Couples Need to Do

Making a yes, no and maybe list for sexual activities with your partner is a great exercise to open communication and create intimacy.

by Matt Lachman LPCC-S, CST March 2, 2026March 2, 2026

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Ask a Cleveland Sex Therapist: I’m Feeling Sexually Neglected by My Partner

Sex is rarely just about orgasm. It is about connection. It is about being seen in your desirability. It is about knowing your partner turns toward you rather than away from you.

by Matt Lachman LPCC-S, CST February 23, 2026February 23, 2026

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Ask a Cleveland Sex Therapist: Your “How To” Guide on Squirting

Dispelling some myths and handing out some advice to go with the towels.

by Matt Lachman LPCC-S, CST February 16, 2026February 16, 2026

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Ask a Cleveland Sex Therapist: Valentine’s Day Sex is Overrated

The holiday amplifies everything that already makes intimacy hard: pressure, comparison, obligation, stress, and performance.

by Matt Lachman LPCC-S, CST February 9, 2026February 9, 2026

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Ask a Cleveland Sex Therapist: I Can’t Orgasm With a Partner

The struggle you are experiencing lives at the intersection of anxiety, vulnerability, communication, and cultural messaging about sex, not in some personal failure.

by Matt Lachman LPCC-S, CST February 4, 2026February 4, 2026

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Ask a Cleveland Sex Therapist: Why Do I Feel Turned On By My Partner Cheating?

Whether redefining the relationship you are in, stepping away from patterns that keep leaving you feeling small, or getting support to untangle what you actually want versus what you have been settling for, figuring out what’s going on is work that matters.

by Matt Lachman LPCC-S, CST January 26, 2026January 26, 2026

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Ask a Cleveland Sex Therapist: When Sex Starts to Feel Annoying

Many people go through seasons where sex simply is not a priority, or where their relationship to desire shifts. Sometimes that pause is exactly what allows people to reconnect with themselves in a more honest and grounded way later on.

by Matt Lachman LPCC-S, CST January 12, 2026

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Ask a Cleveland Sex Therapist: The Intimacy Rules We Are Following in 2026

Frequency vs. quality, communication, not comparing your sex life to that of others, reigniting passion and more.

by Matt Lachman LPCC-S, CST January 5, 2026

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Ask a Cleveland Sex Therapist: Reflecting on One Year of Answering Your Questions

Desire changes over time. Communication breaks down. Long term relationships need novelty and care. New relationships bring anxiety and excitement. And sex does not always look the way we think it should.

by Matt Lachman LPCC-S, CST December 29, 2025December 29, 2025